LAPAROSCOPIC CHOLECYSTECTOMY: AN EARLY EXPERIENCE AT AYUB TEACHING HOSPITAL ABBOTTABAD
AbstractBackground: Laparoscopic Cholecystectomy first introduced in 1987, is becoming more andmore popular and now it has become gold standard in symptomatic gallstone disease. The currentdescriptive study is carried out in Department of General Surgery, Ayub Teaching hospital,Abbottabad to evaluate the result of Laparoscopic Cholecystectomy in symptomatic gallstonesdisease in our set up with special emphasis on complication rate, morbidity and mortality.Methods: The data of all patients who underwent Laparoscopic Cholecystectomy form January toDecember 2007 was entered in standardized proforma and analysed on SPSS 10. Results: Out of60 patients, 51 (85%) were female and 9 (15%) were males; the age range from 17 to 65 yearsmean age being 40.30 years, majority were in age 30–40 years group. Two (3.3%) patients hadbile leak, 1 (1.3%) patient developed port site wound infection 1 (1.3%) patient developedcollection in pouch of Morrison and in 1 (1.3%) patient stone were recovered from the epigastricport site wound. There was no bile duct or colonic injuries. The conversion rate was 5%. Therewas no mortality. Conclusion: Laparoscopic cholecystectomy is a safe and effective treatment forgall stone disease and is up to the accepted standard in our set up as compared to national andinternational data.Key Words; Laparoscopic Cholecystectomy, morbidity, mortality.
Raza M, Wasty WH, Habib L, Farhat J, Saria MS, Sarwar M.
An audit of Cholecystectomy. Pak J Surg 2006;23(2):100–3.
Schirmer BD, Winters XL, Edlich RF. Cholelethiasis and
cholecystitis. J Longterm Eff Med Implants.2005;15( 3):329–38.
J Ayub Med Coll Abbottabad 2007;19(4)
Alam SN, Rehman S, Raza SM, Manzir SM. Audit of
General Surgical Unit: Need for self evaluation. Pak J Surg
Jawaid M, Masood Z, Iqbal SA, Sultan T. The pattern of
diseases in a Surgical Unit at tertiary care public hospital at
Karachi. Pak J Med Sci 2004;20(4):311–4.
Gadaor TR, Talamzii MA. Traditional vs Laparoscopic
cholecystectomy. Am J Surg.1999;161:336–8.
Cuschieri A. Laparoscopic cholecystectomy. J R Coll Surg
Ji W, Li LT, Li JS. Role of laparoscopic subtotal
cholecystectomy in the treatment of complicated
cholecystitis. Hepatobilpancreatic Dis Int.2006;5(4):584–9.
Saeed T, Zarin M, Mahmud Aurangzeb, Aziz Wazir, Roohul
Muqeem. Comparative study of Laparoscopic versus open
Cholecysyectomy. Pak J Surg Jun 2007;23(2):96–9.
Bhopal FG, Rai MA, Iqbal MA. A comparative study of
morbidity in laparoscopic and open cholecystectomy. J Surg
Khan S, Zakiuddin G Oonwala. An audit of Laparoscopic
Cholecystectomy. Pak J Surg Jun 2007;23(2):100–3.
Mazhar Iqbal, Irfan Sattar, Khalid Rasheed, Naqeebullah
Khan, Asadullah Khan. Complications of Laparoscopic
Cholecystectomy: A Learning Curve. J Surg Pak Dec
Purkayastha S, Tilney HS, Georgiou P, Athanasiou T, Tekkis
PP, Darzi AW. Laparoscopic cholecystectomy versus
mini-laparotomy cholecystectomy: a meta-analysis of
randomised control trials. Surg Endosc.
Tarcoveanu E, Nicculesce D, Georgescu S, Bradea C, Epure
O. Conversion in Laparoscopic cholecystectomy. Chirugia.
Ishiazaki Y, Miwa K, Yoshimoto J, Conversion of
laparoscopic to open cholecystectomy between 1993 and
Br J Surg 2006;93(8):987–91.
Iqbal J, Ahmed B, Iqbal Q. Laparoscopic cholecystectomy vs
open cholecystectomy, morbidity comparison. The
Abbassi SA, Azami R Haleem A. An audit of Laparoscopic
cholecystectomy performed at PNS Shifa. Pak Armed Forces
Med J 2003;53(1):51–8.
Diziel DJ, Milikan KW, Economo SG. Complications of
Laparoscopic cholecystectomy, a national survey of 4292
hospitals and an analysis of 77604 cases. Am J Surg
Roviaro GC, Macioco M, Rebuffat C, Varoli F, Vergani V,
Rabughino G, et al. Complications following
cholecystectomy. J Roy Coll Surg Edinb 1997;42:324–8.
Jaffary SA, Shamim MS, Raza SJ, Dastagir A. instrument
failure; a preventable cause of conversion in laparoscopic
cholecystectomy. Pak J Surg 2006;23(2):92–5.
Kama NA, Doganay M, Dolapci M, Reis E, Atli M, Kologlu
M. risk factors resulting in conversion of laparoscopic
cholecystectomy to open surgery. Surg Endosc 2001
Shamim M, Dhari MM, Memon AS. Complications of
Laparoscopic cholecystectomy. Pak J Surg 2006;22(2):70–5.
Cheema MA, Zahid MA, An experience of laparoscopic
cholecystectomy at Lahore General Hospital. Biomedica
Elder S, Qunin J, Chourih, Sabo E, Matter I, Nashe E, Schein
M. Safety of laparoscopic cholecystectomy in a teaching
services: A prospective trial. Surg Lap Endosc
Lim SH, Saleh I, Poh BK. Laparoscopic Cholecystectomy: an
audit of training programme. Aust NZ J Surg
Arain GM, Hassan A, Randhawa MH, Malik SA.
Laparoscopic Cholecystectomy and its complications: a study
of 1100 cases. Pak J Gastroentrol 1998;12(1-2):29–35.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.